| NPI | 1104176528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLY I RIOS ORTEGA Psychologist 804-519-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8383) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |